连续性护理干预对高血压患者血压控制、用药依从性的影响

摘要

Objective To investigate the influence of continuing nursing intervention on blood pressure control and medication compliance in patients with primary hypertension.Methods The patients (n=300, male 162, female 138, aged from 53 to 82 and average age=67.32±2.11) were chosen from the Department of Cardiology of East Region of Qingdao Municipal Hospital from Jun. 2014 to May 2015, and randomly divided into intervention group and routine group (eachn=150). The routine group was given routine treatment and nursing care, and intervention group was additionally given continuing nursing intervention. The values of blood pressure (BP) were detected in 2 groups before intervention and after intervention for 3 m and 6 m. The medication compliance, BP controlling and lifestyle compliance (diet, exercise and psychological balance) were compared between 2 groups. Results Compared with routine group, systolic BP [(144.8±6.4) mmHgvs. (135.3±5.7) mmHg] after intervention for 3 m, [(139.6±5.7) mmHgvs. (133.8±6.0) mmHg] after intervention for 6 m and diastolic BP [(92.1±6.2) mmHg vs. (83.3±5.9) mmHg] after intervention for 3 m, [(85.6±6.1) mmHgvs. (81.8±5.5) mmHg] after intervention for 6 m decreased in intervention group (allP<0.05). The percentage of patients with better BP controlling was higher (67.33%vs. 50.67%), and that of patients with higher medication compliance was higher (72.67%vs. 54.67%) in intervention group than that in routine group (allP<0.05). The percentages of patients with reasonable diet, regular exercise and mental balance were significantly higher in intervention group than those in routine group (allP<0.05). Conclusion Continuing nursing intervention can improve the effect of BP controlling, medication compliance and lifestyle compliance in patients with primary hypertension.%目的：探讨连续性护理干预对原发性高血压患者的血压控制、用药依从性的影响。方法选取2014年6月~2015年5月青岛市市立医院东院区心内科收治的300例原发性高血压患者作为观察对象，其中男性162例，女性138例，年龄53~82岁，平均（67.32±2.11）岁。所有患者随机分为干预组和常规组，各150例。常规组采用常规治疗、护理，干预组在此基础上采用连续性护理干预。测量两组患者入组时、干预3个月后、干预6个月后血压值。比较两组患者用药依从性、血压控制情况及生活方式依从性（饮食调节、适量运动、心理平衡）。结果与常规组比较，干预组干预3个月、6个月后收缩压和舒张压均降低，[（144.8±6.4）mmHgvs.（135.3±5.7）mmHg]、（1 mmHg=0.133kPa）[（139.6±5.7）mmHgvs.（133.8±6.0）mmHg]、[（92.1±6.2）mmHg vs.（83.3±5.9）mmHg]、[（85.6±6.1）mmHg vs.（81.8±5.5） mmHg]，差异有统计学意义（P均＜0.05）。干预组血压控制良好比例高于常规组（67.33%vs.50.67%），用药依从性佳比例也高于常规组（72.67%vs.54.67%），差异具有统计学意义（P均＜0.05）。干预组的饮食调节、适量运动、心理平衡比例显著高于常规组，差异均具有统计学意义（P均＜0.05）。结论连续性护理干预提高原发性高血压患者的血压控制效果，改善用药依从性和生活方式依从性。